Fraud and Abuse
What is exclusion?What Federal law allows the Department of Health and Human Services some discretion regarding permissive exclusion?
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Exclusion refers to a condition when a physician takes part or involves in fraud or abuse, he/she will be excluded from participation in the Medicare/Medicaid program. I think it is Hipaa. Is it right?
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I agree with dpage7742 U.S.C. 1320a-7(b)(b) Permissive exclusion The Secretary may exclude the following individuals and entities from participation in any Federal health care program (as defined in...
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Darn,You guys are good. I thought this would be a hard one.No, this isn't HIPAA. BTW, I just took the test to become a CCS-P. I hope I passed.
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Wow.. Amy this is simply superb...Steve, I thought it was Hipaa. Thankz for confirmning that it isn,t. okei...Learning experience is all that counts...
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Fraud and Abuse are defined by the Federal registrar for 3rd party billing companies maintained by the Office of Inspector General of the Department of human and social services(DSHS) and not by...
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Good Luck Steve. You are such a smarty.... I have complete faith in you. Amy
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exclusion=conviction related to the Medicare or Medicaid program, a conviction related to patient abuse, or an action taken by a State licensing authority.???
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Would "exclusion" be when a provider is excluded from participating in said government programs because of a conviction.
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You're all close.Exclusion means a provider, not just a physician, is prohibited from receiving reimbursement from any and all Federal Healthcare programs, not just Medicaid and Medicare.There are two...
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Steve, thankz for the info.. mmmmmh.. just missed. Better luck next time for us...
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